快速康复外科护理对微创食管癌患者围手术期应用效果、心理状态及生活质量的影响

Effect of Rapid Rehabilitation Surgical Nursing on Perioperative Application, Psychological Status and Quality of Life in Patients with Esophageal Cancer Given Minimally Invasive Treatment

摘要: 目的：观察微创食管癌患者围手术期应用快速康复外科护理的效果及对心理状态及生活质量的影响。方法：选取2015年1月~2018年1月在我院接受胸腹腔镜联合食管癌根治术治疗的108例食管癌患者临床资料，按护理方案不同分2组，对照组行常规护理，观察组行快速康复外科护理，比较两组手术指标及心理状态、生活质量。结果：观察组排气(60.21 ± 2.82) h、胸管拔除(2.51 ± 0.63) d、下床活动(1.52 ± 0.23) d及住院(9.23 ± 0.71) d的时间均比对照组短(P < 0.05)；观察组护理后SAS评分(26.31 ± 4.74)分、SDS评分(30.24 ± 2.69)分均比对照组(35.63 ± 5.24)分、(39.21 ± 6.02)分优(P < 0.05)；观察组躯体功能(75.59 ± 5.38)分、心理功能(75.18 ± 5.26)分、认知功能(70.09 ± 5.56)分、社会功能(78.26 ± 2.78)分、总体健康(78.59 ± 5.28)分均比对照组评分高(P < 0.05)。结论：微创食管癌患者围手术期应用快速康复外科护理能加快患者术后恢复，降低并发症风险，改善心理状态，提升生活质量，效果显著。

Abstract: Objective: To explore the clinical effect of perioperative rapid rehabilitation surgical nursing in patients with esophageal cancer given minimally invasive treatment and its effects on their psychological status and quality of life. Methods: The clinical data of 108 patients with esophageal cancer treated by thoracoscopy combined with esophagectomy in the Hospital between January 2015 and January 2018 were selected, and according to the different nursing plans applied, the patients were divided into two groups: those who had received routine nursing were taken as the control group, and those who had received rapid rehabilitation surgical nursing were assigned as the observation group. The surgical index, psychological status and quality of life in the two groups were compared. Results: The time for extubation, for ambulation and the length of hospital stay in the observation group were respectively (2.51 ± 0.63) d, (1.52 ± 0.23) d and (9.23 ± 0.71) d, all shown to be shorter than the control group (P < 0.05). The SAS and SDS scores after nursing were respectively (26.31 ± 4.74) and (30.24 ± 2.69) in the observation group, both shown to be better than the control group, where the SAS score was (35.63 ± 5.24) and the SDS score was (39.21 ± 6.02) (P < 0.05). The scores of physical function, mental function, cognitive function and social function, and the total health score in the observation group were respectively (75.59 ± 5.38), (75.18 ± 5.26), (70.09 ± 5.56), (78.26 ± 2.78) and (78.59 ± 5.28), all shown to be higher than those in the control group (P < 0.05). Conclusion: Perioperative application of rapid rehabilitation surgical nursing in patients with esophageal cancer treated by minimally invasive therapy can speed up their postoperative recovery, reduce the risk of complications, improve their psychological status and quality of life; therefore, it is of significant value to be popularized in clinical application.